St Luke Tristate Weightloss Center
Organization Active NPI Surgery Physician · Florence, KY
NPI 1356508329 · NPPES record last updated May 19, 2008
Key facts
- NPI
- 1356508329
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- ST LUKE TRISTATE WEIGHTLOSS CENTER
- Practice address
- 7380 Turfway Rd
Florence, KY 41042-1355 - Phone
- (859) 212-4625
- Fax
- (859) 212-4638
- NPI assigned
- May 19, 2008
- Organization subpart
- No
Authorized official
- Name
- Thomas Sonnanstine, MD
- Title
- Physician
- Phone
- (859) 212-4625
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- St Luke Hospitals Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
7380 Turfway Rd
Florence, KY 41042-1355
Mailing address
7380 Turfway Rd
Florence, KY 41042-1355
Phone (859) 212-4625
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9234 | Other | KY | MEDICARE GROUP |
| 65915621 | Medicaid | KY |
Other providers in Florence, KY
- Casey Springer
- St Elizabeth Medical Center, Inc
- St Elizabeth Medical Center, Inc
- St Luke Family Behavioral Health
- St Luke Hospitals, Inc
- St. Elizabeth Home Care Services, LLC
- St. Luke Hospital, Inc.
- St. Luke Hospitals, Inc.
- St. Vincent de Paul Community Pharmacy
- St.Elizabeth Healthcare
All providers in Florence, KY · Surgery Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.